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S52.209A
ICD-10-CM
Ulna Fracture

Find information on Ulna Fracture diagnosis, including clinical documentation, medical coding, ICD-10 codes S52, S52.0, S52.1, S52.2, and CPT codes for fracture care. Learn about distal ulna fracture, ulna shaft fracture, and closed vs open fracture types. Explore resources for accurate healthcare documentation and proper medical coding related to Ulna Fractures for optimized billing and reimbursement. This resource provides essential information for physicians, coders, and other healthcare professionals.

Also known as

Fracture of the Ulna
Ulnar Fracture

Diagnosis Snapshot

Key Facts
  • Definition : Break in the ulna bone (forearm).
  • Clinical Signs : Pain, swelling, deformity, limited movement, tenderness to touch.
  • Common Settings : Falls, sports injuries, direct blows to the forearm.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC S52.209A Coding
S52

Fracture of forearm

This range covers fractures of the ulna, radius, or both forearm bones.

S02

Fracture of skull and facial bones

While not directly related to ulna fractures, this includes codes for other bone fractures.

T10-T14

Superficial injury to different body regions

May be relevant if the ulna fracture is associated with superficial injuries like abrasions.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the ulna fracture open or closed?

  • Open

    Gustilo Grade?

  • Closed

    Specific site of fracture?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Ulna Fracture
Radius Fracture
Monteggia Fracture

Documentation Best Practices

Documentation Checklist
  • Ulna fracture diagnosis code (ICD-10)
  • Laterality: Left or right ulna
  • Fracture location: Distal, shaft, proximal
  • Open/closed fracture documentation
  • Displaced/nondisplaced: X-ray findings

Coding and Audit Risks

Common Risks
  • Unspecified Laterality

    Coding ulna fracture without specifying right, left, or bilateral can lead to claim denials and inaccurate data reporting. CDI should query for laterality.

  • Incomplete Fracture Type

    Failure to document specific fracture type (e.g., displaced, comminuted) impacts accurate code assignment and reimbursement. CDI can clarify fracture details.

  • Missed Associated Injuries

    Overlooking associated injuries like radius fractures or dislocations leads to undercoding and lost revenue. Thorough documentation is crucial for accurate coding and compliance.

Mitigation Tips

Best Practices
  • Accurate ICD-10 coding: S52, S52.0-S52.9 for ulna fractures. Ensure proper laterality.
  • Detailed documentation: Mechanism of injury, fracture type, location, displacement. Improves CDI.
  • Radiology reports: Include precise fracture description for coding and compliance validation.
  • Timely documentation: Capture diagnosis, treatment, and follow-up for optimal reimbursement.
  • Regular training: Educate staff on ulna fracture coding, documentation, and compliance updates.

Clinical Decision Support

Checklist
  • Verify mechanism of injury documented (e.g., FOOSH, direct blow)
  • Confirm ulna tenderness/deformity on physical exam
  • Check imaging results (X-ray, CT) for fracture line/location
  • Document fracture type (e.g., open, closed, comminuted, greenstick)

Reimbursement and Quality Metrics

Impact Summary
  • Ulna Fracture Reimbursement: Coding accuracy impacts payer contracts and claim denials. Proper ICD-10 and CPT coding maximizes revenue.
  • Quality Metrics Impact: Accurate fracture documentation affects hospital quality reporting scores for patient safety and outcomes.
  • Coding Accuracy: Correctly coding ulna fracture type (e.g., open, closed, displaced) ensures appropriate reimbursement and data integrity.
  • Hospital Reporting: Accurate ulna fracture coding improves data for public health reporting, research, and resource allocation.

Streamline Your Medical Coding

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Frequently Asked Questions

Common Questions and Answers

Q: What are the key clinical findings differentiating a simple ulna fracture from a more complex injury like a Monteggia fracture in pediatric patients?

A: While an isolated ulna fracture presents with localized pain, swelling, and tenderness along the ulnar shaft, a Monteggia fracture involves a proximal ulna fracture with concomitant radial head dislocation. Clinicians should carefully assess for radial head instability, limited forearm rotation, and ecchymosis around the elbow in pediatric patients. Radiographic imaging, including both AP and lateral views of the elbow and forearm, is crucial to confirm the diagnosis and rule out associated injuries. Explore how advanced imaging, such as MRI or CT, can further characterize complex fracture patterns or subtle dislocations in challenging cases.

Q: How do I determine the most appropriate non-operative management strategy for a stable, minimally displaced ulna fracture in an adult patient with no other comorbidities?

A: Non-operative management is often successful for stable, minimally displaced ulna fractures in adults. Treatment typically involves immobilization with a cast or splint, along with pain management and regular clinical follow-up. The specific type of immobilization and duration depend on factors such as fracture location, degree of displacement, and patient activity level. Consider implementing a standardized protocol for assessing fracture stability and monitoring for potential complications like malunion or nonunion. Learn more about the latest evidence-based guidelines for cast application and rehabilitation protocols for optimal functional recovery.

Quick Tips

Practical Coding Tips
  • Code ulna fracture site precisely
  • ICD-10 S52 for ulna fracture
  • Document mechanism of injury
  • Specify displaced/nondisplaced
  • X-ray confirmation crucial

Documentation Templates

Patient presents with complaints of left wrist pain following a fall onto an outstretched hand.  Onset of pain was acute and coincident with the fall.  Patient reports localized pain, swelling, and tenderness over the distal left ulna.  Mechanism of injury is consistent with a possible ulna fracture.  Physical examination reveals ecchymosis, edema, and point tenderness along the distal ulna.  Crepitus is palpable.  Range of motion is limited due to pain.  Neurovascular assessment reveals intact radial and ulnar pulses, capillary refill less than 2 seconds, and normal sensation in the median, ulnar, and radial nerve distributions.  Radiographic imaging of the left wrist is ordered to evaluate for ulna fracture, distal radius fracture, and other wrist injuries.  Differential diagnosis includes ulnar styloid fracture, distal radius fracture, wrist sprain, and triangular fibrocartilage complex injury.  Preliminary diagnosis is ulna fracture.  Treatment plan includes immobilization with a splint, pain management with analgesics, and referral to orthopedics for definitive management.  Patient education provided regarding fracture care, activity modification, and follow-up appointments.  ICD-10 code S52.  CPT codes for evaluation and management, radiographic imaging, and splinting will be determined based on services provided.  Return precautions discussed with the patient, including worsening pain, numbness, tingling, or change in color of the fingers.